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Roman Sibel, MD

Foot and Ankle Surgery · Henderson, NVNPI 1790896074

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $274,697 of the $308,973 with a category attached, or 88.9%. 35 manufacturers reported payments, led by Trilliant Surgical LLC. at 38.5% of the total. Reporting peaked in 2022 at $115,309 and has fallen 99.0% since, to $1,111 in 2025. Among foot and ankle surgery clinicians in NV with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.

$308,973in general payments, 2019–2025

Across 211 payments — averaging $1464.33 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Trilliant Surgical LLC.$119K
  • Medartis Inc.$96K
  • Nextremity Solutions Inc.$67K
  • Vilex LLC$7K
  • Goode Surgical Inc$5K
  • Arthrex$4K
  • plus $11K from 29 others

What the payments were for

  • Royalty or licence$274,69789%
  • Consulting fees$6,2502%
  • Speaking & faculty fees$2,0001%
  • Travel & lodging$10,0903%
  • Food & beverage$8,2443%
  • Education$7,1842%
  • Other$5090%

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

CompanyPaymentsTotal
Trilliant Surgical LLC.28$119,034
Medartis Inc.15$96,291
Nextremity Solutions Inc.9$67,312
Vilex LLC14$6,500
Goode Surgical Inc13$5,130
Arthrex18$3,578
Medical Device Business Services, Inc.15$2,025
Restor3d, Inc.6$1,951
Stryker(2 entities)19$1,220
Flower Orthopedics Coporation2$1,175
Linvatec Corporation11$1,138
Integra Lifesciences Corporation2$509
Carbofix Orthopedics Inc4$410
Misonix Inc11$396
Treace Medical Concepts, Inc.11$385
Novastep Inc.3$238
Exactech, Inc.2$225
Intrafusion GP, LLC2$198
Johnson & Johnson5$172
Nevro Corp.2$164
Acera Surgical, Inc.1$142
Smith+Nephew2$108
Biogen1$94
Medline Industries LP1$93
Biotissue Holdings Inc.2$90
Ossio Inc1$80
Paragon 28, Inc.1$65
Organogenesis Inc.2$62
Solventum Corporation1$49
KCI USA, Inc.2$42
Bioventus LLC1$23
Heron Therapeutics, Inc.1$21
Curonix LLC1$20
Pacira Pharmaceuticals Incorporated1$20
Kerecis Limited1$12

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$308,973 in reported general payments places this provider in the 95th percentile of 84 foot and ankle surgery providers in Nevada.

See all foot and ankle surgery providers in Nevada →

Medicare billing

Part B allowed, 2024
$456,274
Medicare patients
222
Services billed
1,392

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav56$656
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen50$571
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim27$134
SsdSilver Sulfadiazine16$105
Meloxicam12$69

Paid to pharmacies, not to this prescriber.

Other foot and ankle surgery in Henderson

See the full list for Nevada →

Where these figures come from

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